ALYSSA PROLLOCK

FAIRBANKS, AK
NPI1215614409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1301X Dietitian, Registered, Nutrition, Oncology
(Licence: AK  208636)
Enumeration Date2023-06-29
Last Update Date2023-06-29
Business Address
ALYSSA PROLLOCK RD
1640 COWLES ST
FAIRBANKS, AK 99701-5908
Phone number: 907-458-5629
Mailing Address
ALYSSA PROLLOCK RD
3981 BUCKEYE LN APT 1
FORT WAINWRIGHT, AK 99703-1609
Phone number: 404-414-5431
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